Local Contract Nurse RN - Utilization Review - 75-85 per hour - Santa Clara - Pyramid Consulting

    Pyramid Consulting
    Pyramid Consulting Santa Clara

    1 day ago

    Description

    Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Santa Clara, California.

    Job Description & Requirements


    Specialty:
    Utilization Review

    Discipline:
    RN

    Duration:
    12 weeks
    40 hours per week

    Shift:
    8 hours

    Employment Type:
    Local Contract

    Role Highlights:
    Acute Care Case Management
    Utilization Review & Care Coordination
    Discharge Planning & Patient Transitions
    Work closely with physicians & multidisciplinary teams


    Must-Haves:
    Hospital/Inpatient experience
    Acute care department background
    Strong discharge planning experience
    Minimum 2 years in Case Management/UM

    Requirements:
    Active California RN License
    BLS Certification

    Additional Requirements

    Knowledge of regulatory agencies and standards including:
    TJC, DMHC, CMS, NCQA, HIPAA, ERISA, EMTALA


    • Strong communication, customer service, and critical thinking skills
    • Excellent clinical judgment and problem-solving ability
    • Proficiency with word processing, computer navigation, and analytic data use
    • Understanding of healthcare benefits across various business lines
    • Ability to work in a Labor/Management Partnership environment
    About Pyramid Consulting

    Supercharge your career with Pyramid Consulting.
    We are dedicated to accelerating growth, creating opportunities, and fostering an environment built on belonging, trust, and mutual respect. Our commitment is to help you find the best path to achieve your career goals.
    As a global leader in workforce and technology solutions, Pyramid Consulting, Inc. partners with clients to navigate competitive and ever-changing markets.

    Our award-winning family of brands — Pyramid Talent, Celsior, and GenSpark — works seamlessly together, delivering integrated solutions through multiple delivery models across five continents and 25+ countries.

    Since our founding in 1996, we've supported 125+ Fortune 500 companies across all major industries by engaging 6,500+ consultants worldwide.

    Join our talent network

    Looking for a job that aligns with your skills and ambitions? Join our talent network and enhance your job search experience with access to a broad range of job opportunities tailored to your background and interests.


    Explore jobs:
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    Apply:
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    Take the next step in your career journey with Pyramid Consulting, where we're committed to helping you grow and succeed.

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